Dhinakar Manjula, Dhinakar Logesan, Kamona Atheel, Saifudeen Abdulrahman
Oman Med J. 2010 Oct;25(4):299-302. doi: 10.5001/omj.2010.86.
Post-partum ovarian vein thrombosis is an uncommon clinical presentation. 90% of cases present as right loin and right iliac fossa pain, within 10 days of the puerperal period. Two such cases that were referred to the Imaging department as suspected appendicitis/ureteric colic are reported. The findings seen on imaging illustrate the difficulty in the clinical and radiological diagnosis of post-partum ovarian vein thrombosis and highlight the need to include it as a differential diagnosis in cases of post partum acute abdomen. Post-partum ovarian vein thrombosis can be accurately diagnosed by appropriate non-invasive investigations to enable early therapy with anti-coagulants and intravenous antibiotics which are the mainstay of treatment. Surgery can be avoided if diagnosis is made early.
产后卵巢静脉血栓形成是一种不常见的临床表现。90%的病例在产褥期10天内表现为右腰部和右髂窝疼痛。本文报告了两例因疑似阑尾炎/输尿管绞痛而转诊至影像科的病例。影像学检查结果表明产后卵巢静脉血栓形成在临床和放射学诊断上存在困难，并强调在产后急腹症病例中将其作为鉴别诊断的必要性。通过适当的非侵入性检查可以准确诊断产后卵巢静脉血栓形成，以便早期使用抗凝剂和静脉抗生素进行治疗，这是治疗的主要手段。如果早期诊断，则可避免手术。
